Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $107.15 / $144.54 / $144.54	Facility		$107.15	$144.54	$144.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $144.54 / $199.53	Professional		$114.82	$144.54	$199.53
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $162.18 / $194.98	Professional		$147.91	$162.18	$194.98
Ambetter Facility/Professional Professional Modifier 25 Low / Median / High Price $144.54 / $151.36 / $173.78	Professional	25	$144.54	$151.36	$173.78
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $169.82 / $389.05	Professional		$123.03	$169.82	$389.05
CareSource Facility/Professional Facility Modifier Low / Median / High Price $173.78 / $177.83 / $177.83	Facility		$173.78	$177.83	$177.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $223.87 / $302.00	Professional		$151.36	$223.87	$302.00
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $165.96 / $251.19	Professional		$162.18	$165.96	$251.19
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $100.00	Professional		$32.36	$33.11	$100.00
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $194.98 / $316.23	Professional		$158.49	$194.98	$316.23
United Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $181.97 / $281.84	Professional		$128.82	$181.97	$281.84